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General NPI Number Information
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NPI Number | 1366084840
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN SOLUTIONS SF LLC
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 14358 BISCAYNE BLVD
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City | NORTH MIAMI
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State | FL
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Zip | 33181-1206
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Country | US
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Telephone | 786-253-4817
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 N FEDERAL HWY # 1005
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1422
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Country | US
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Telephone | 786-253-4817
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA DE LA PENA
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Credential | MD
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Telephone | 786-253-4817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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